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BRUNNER & SUDDARTH'S TEXTBOOK OF MEDICAL SURGICAL NURSING 15TH EDITION JANICE HINKLE TEST BANK 2025 LATEST UPDATE

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BRUNNER & SUDDARTH'S TEXTBOOK OF MEDICAL SURGICAL NURSING 15TH EDITION JANICE HINKLE TEST BANK 2025 LATEST UPDATE A nurse is caring for a client who was admitted for an asthma exacerbation. In the past year, the client has been admitted for three asthma events. What will the nurse include in the client teaching about preventing repeat hospitalizations? The nurse should teach about __________ followed by ___________. - ANS-The nurse should teach about triggers to avoid followed by knowing medications. A 47-year-old male client presented to the medical unit and the health care team suspects tuberculosis (TB). The nurse is admitting the client to a reverse isolation room. QuantiFERON testing and chest x-ray are pending. Urinalysis results are negative. No other testing was performed prior to admission to isolation. The client denies any chest pain, shortness of breath (SOB), or respiratory difficulty. The client presents with productive yellow sputum. Based on the provided assessment status, the nurse should utilize __________ to prevent exposure and __________ to collect specimens for additional testing. - ANS-Based on the provided assessment status, the nurse should utilize airborne precautions to prevent exposure and sputum to collect specimens for additional testing. The nurse has documented an assessment on a 45-year-old male client on the third postoperative day following an open abdominal appendectomy. 2 | P a g e Client has 3 in (7.6 cm) right lower abdominal incision. Proximal 2 in (5 cm) of incision edges are red and well-approximated. Distal portion of incision has separated and has yellow drainage on dressing. Bulb drain has serosanguinous drainage and clumps of yellow pus. Oxygen saturation on room air 97%. Blood pressure, 112/60 mm Hg; heart rate, 102 beats/min; respiratory rate, 22 breaths/min; temperature, 101.2F (38.4C) orally. Denies chills. Bowel sounds hypoactive in all 4 quadrants. Client reports passing flatus, no Abdomen firm and slightly distended bowel movement. Lungs clear to auscultation bilaterally. Client reports incisional pain level of 3/10 red blood cell count 4.2 million/mcl, thirty (30) minutes following oxycodone 5 mg orally. Reports an increased, but tolerabl - ANS--has separated and has yellow drainage on dressing -clumps of yellow pus -102 beats/min; respiratory rate, 22 breaths/min; temperature, 101.2°F (38.4°C) orally -White blood count 12.9 x 103 cells/mm3 (12.9 x 109 /l) -blood glucose level 130 mg/dl (7.21 mmol/l). The nurse monitors a client for side effects associated with furosemide, which is newly prescribed for the treatment of heart failure. Due to the client's high risk for developing _________ as a result of the prescribed medication, the nurse focuses on monitoring the client for __________. - ANS-Due to the client's high risk for developing hypokalemia as a result of the prescribed medication, the nurse focuses on monitoring the client for ventricular arrhythmia. A client has been admitted to the hospital with a large sacral pressure ulcer. The physician prescribes the wound care protocol to be performed twice a day. What would be a statement on the plan of care that would address the implementation phase of the nursing process for this client? - ANS-Turn the client every 2 hours. The basic difference between nursing diagnoses and collaborative problems - ANS-Nurses manage collaborative problems using physician-prescribed interventions. Nursing diagnoses can be managed by independent nursing interventions. 3 | P a g e A nurse saw a coworker steal drugs from a locked cabinet. The supervisor notices the missing drugs and has a good idea who is responsible for the theft. The supervisor asks if the nurse saw anything out of the ordinary. Which professional value reflects a nurse's duty to tell the truth? - ANS-Veracity Veracity is the nurse's duty to tell the truth in all professional situations. A nurse is working in a rural nurse-managed agency that provides immunizations, health assessments, and screening services. The nurse is most likely working in which of the following? - ANS-Community nursing center Which is a primary task of nursing research? - ANS-Contributing to the scientific base of nursing practice A student nurse has been assigned to provide basic care for a 58-year-old man with a diagnosis of AIDS-related pneumonia. The student tells the instructor that she is unwilling to care for this client. What key component of critical thinking is most likely missing from this student's practice? - ANS-Withholding judgment A nurse in a hospice facility cares for clients with terminal illnesses and witnesses a great deal of pain and emotional distress. Which factor that affects healthcare ethics determines how the nurse must respond when a client asks for help in ending his or her suffering? - ANS-Legislative and judicial decisions The nurse is caring for a client who is withdrawing from heavy alcohol use and who is consequently combative and confused, despite the administration of benzodiazepines. The client has a fractured hip that he suffered in a traumatic accident and is trying to get out of bed. What is the most appropriate action for the nurse to take? - ANS-Obtain a physician's order to restrain the client. Who should be involved in establishing specific and realistic outcomes, so the client does not become frustrated in trying to achieve them? - ANS-The client and family

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1|P a g e




BRUNNER & SUDDARTH'S TEXTBOOK OF MEDICAL-
SURGICAL NURSING 15TH EDITION JANICE HINKLE TEST
BANK 2025 LATEST UPDATE
A nurse is caring for a client who was admitted for an asthma exacerbation. In the
past year, the client has been admitted for three asthma events. What will the
nurse include in the client teaching about preventing repeat hospitalizations?

The nurse should teach about __________ followed by ___________. -
ANS-The nurse should teach about triggers to avoid followed by knowing
medications.

A 47-year-old male client presented to the medical unit and the health care team
suspects tuberculosis (TB). The nurse is admitting the client to a reverse isolation
room. QuantiFERON testing and chest x-ray are pending. Urinalysis results are
negative. No other testing was performed prior to admission to isolation. The
client denies any chest pain, shortness of breath (SOB), or respiratory difficulty.
The client presents with productive yellow sputum.

Based on the provided assessment status, the nurse should utilize
__________ to prevent exposure and __________ to collect specimens for
additional testing. - ANS-Based on the provided assessment status, the nurse
should utilize airborne precautions to prevent exposure and sputum to collect
specimens for additional testing.

The nurse has documented an assessment on a 45-year-old male client on the
third postoperative day following an open abdominal appendectomy.

,2|P a g e




Client has 3 in (7.6 cm) right lower abdominal incision. Proximal 2 in (5 cm) of
incision edges are red and well-approximated. Distal portion of incision has
separated and has yellow drainage on dressing. Bulb drain has serosanguinous
drainage and clumps of yellow pus. Oxygen saturation on room air 97%. Blood
pressure, 112/60 mm Hg; heart rate, 102 beats/min; respiratory rate, 22
breaths/min; temperature, 101.2F (38.4C) orally. Denies chills. Bowel sounds
hypoactive in all 4 quadrants. Client reports passing flatus, no Abdomen firm and
slightly distended bowel movement. Lungs clear to auscultation bilaterally. Client
reports incisional pain level of 3/10 red blood cell count 4.2 million/mcl, thirty
(30) minutes following oxycodone 5 mg orally. Reports an increased, but tolerabl
- ANS--has separated and has yellow drainage on dressing
-clumps of yellow pus
-102 beats/min; respiratory rate, 22 breaths/min; temperature, 101.2°F
(38.4°C) orally
-White blood count 12.9 x 103 cells/mm3 (12.9 x 109 /l)
-blood glucose level 130 mg/dl (7.21 mmol/l).

The nurse monitors a client for side effects associated with furosemide,
which is newly prescribed for the treatment of heart failure.

Due to the client's high risk for developing _________ as a result of the
prescribed medication, the nurse focuses on monitoring the client for
__________. - ANS-Due to the client's high risk for developing
hypokalemia as a result of the prescribed medication, the nurse focuses on
monitoring the client for ventricular arrhythmia.

A client has been admitted to the hospital with a large sacral pressure ulcer.
The physician prescribes the wound care protocol to be performed twice a day.
What would be a statement on the plan of care that would address the
implementation phase of the nursing process for this client? - ANS-Turn the
client every 2 hours.

The basic difference between nursing diagnoses and collaborative problems -
ANS-Nurses manage collaborative problems using physician-prescribed
interventions.

Nursing diagnoses can be managed by independent nursing interventions.

, 3|P a g e




A nurse saw a coworker steal drugs from a locked cabinet. The supervisor
notices the missing drugs and has a good idea who is responsible for the theft.
The supervisor asks if the nurse saw anything out of the ordinary. Which
professional value reflects a nurse's duty to tell the truth? - ANS-Veracity
Veracity is the nurse's duty to tell the truth in all professional situations.

A nurse is working in a rural nurse-managed agency that provides
immunizations, health assessments, and screening services. The nurse is most
likely working in which of the following? - ANS-Community nursing center

Which is a primary task of nursing research? - ANS-Contributing to the
scientific base of nursing practice

A student nurse has been assigned to provide basic care for a 58-year-old man
with a diagnosis of AIDS-related pneumonia. The student tells the instructor that
she is unwilling to care for this client. What key component of critical thinking is
most likely missing from this student's practice? - ANS-Withholding judgment

A nurse in a hospice facility cares for clients with terminal illnesses and
witnesses a great deal of pain and emotional distress. Which factor that affects
healthcare ethics determines how the nurse must respond when a client asks
for help in ending his or her suffering? - ANS-Legislative and judicial decisions

The nurse is caring for a client who is withdrawing from heavy alcohol use and
who is consequently combative and confused, despite the administration of
benzodiazepines. The client has a fractured hip that he suffered in a traumatic
accident and is trying to get out of bed. What is the most appropriate action for
the nurse to take? - ANS-Obtain a physician's order to restrain the client.

Who should be involved in establishing specific and realistic outcomes, so the
client does not become frustrated in trying to achieve them? - ANS-The client
and family

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